泰州市2010年居民恶性肿瘤死亡及减寿年数分析

Analysis on Mortality Rate and Years of Life Lost of Cancer in Taizhou in 2010

[目的]分析泰州市2010年居民恶性肿瘤死亡情况及对人群寿命的影响。[方法]利用死因监测系统收集泰州市居民2010年死亡资料。对2010年的恶性肿瘤死亡资料进行分析,计算死亡率、标化死亡率、潜在减寿年数、减寿率、平均减寿年数等指标。[结果]2010年泰州市恶性肿瘤死亡率为245.56/10万,标化死亡率为154.05/10万,占全死因构成比的38.10%。恶性肿瘤死亡率男性显著高于女性,男、女性别比为1.77∶1,且随年龄增长呈上升趋势。发病前5位依次为食管癌、胃癌、肝癌、肺癌、结直肠癌。恶性肿瘤死亡造成居民潜在减寿年数(PYLL)为57989人年,减寿率为11.74‰,平均减寿年数(AYLL)为5.47年,其中肝癌的潜在减寿年数最高。[结论]泰州市恶性肿瘤呈高发状态,其中食管癌、肝癌、胃癌为主的消化道肿瘤是严重危害当地居民健康最主要的恶性肿瘤,应作为防治重点。

[Purpose] To describe the mortality of cancer in residents of Taizhou and its influence. [Methods] Death cases of local residents were collected from death surveillance system in Taizhou. Mortality rate,age-standardized mortality rate,potential years of life lost （PYLL）,PYLL rate and the average years of life lost （AYLL） were calculated. [Results] The mortality and age-standardized mortality of cancer in Taizhou were 245.56 per 100 000 and 154.05 per 100 000 ,respectively,accounting for 38.10% of total deaths in 2010. It was found that mortality increased with the growth of age. The ratio of mortality for male and female was 1.77∶1. The top five leading causes of death were cancers of esophageal,stomach,liver,lung and colorectum. The PYLL of cancer was 57 989 person years,PYLL rate was 11.74‰,and AYLL was 5.47 years. Liver cancer had the highest PYLL. [Conclusions] The mortality of cancer is high in Taizhou. The cancers of esophageal,stomach,liver are the most common malignant neoplasms severely impairing local resident health and the key point of tumor on the comprehensive prevention.